Serostatus disclosure and associated factors among people living with HIV/AIDS (PLWHA) in Liuzhou city, China

Sunday, 17 August 2014
Exhibit hall (Dena'ina Center)
Dong-Qing Ye, MD , Anhui Medical University, Hefei, China
INTRODUCTION:   HIV serostatus disclosure has become an entry criterion for prevention of sexual partners spread, so we aim to examine prevalence of disclosure and associated factors among people living with HIV/AIDS (PLWHA) in Liuzhou city, Guangxi Zhuang Autonomous Region, southern China.

METHODS:  A questionnaire was addressed to all the conveniently sampled participants, the PLWHA who reported being in marital or regular sexual relationship were eligible for our study. Determinants of disclosure were analyzed using chi-square test and binary Logistic regression.

RESULTS:  Two hundred and forty-five (57.6%) disclosed their HIV-positive status to their spouses/regular sexual partners, while 180(42.4%) did not disclose. Among the 245 informed spouses/regular sexual partners, 236 (96.7%) had done the HIV testing and the positive rate was 50.4%. While among the non-informed spouses/regular sexual partners, 63 (37.7%) had done the HIV testing and the positive rate was 3.2%. Binary Logistic regression analysis indicated that age, area, monthly income, HIV/AIDS related knowledge and antiretroviral therapy were independently associated with HIV serostatus disclosure.

CONCLUSIONS:  Disclosure rate was low in this study, as to its influencing factors, it is necessary to provide comprehensive disclosure consulting among PLWHA who living in urban, older or high monthly income and emphasize the propaganda on HIV/AIDS related knowledge, expand coverage for antiretroviral therapy, so as to provide scientific reference for promoting HIV disclosure and reducing the HIV incidence of spouses/regular sexual partners among PLWHA